1.
Describe the different phases of swallowing; what diseases can cause problems at each phase?
2.
Compare oropharyngeal and esophageal dysphagia.
3.
Tell us about radiologic testing for dysphagia. What is the difference between a barium swallow and a modified barium swallow; what are indications for each?
4.
Describe swallowing issues found in hypothyroidism COPD, and diabetes.
5.
What are some of the esophageal manifestations of Behcet disease, Plummer Vinson syndrome and scleroderma?
6.
Differentiate aspiration vs. penetration.
7.
What is the role of a FEES in the work up of aspiration?
Reference(s):
Leder, S. B., & Murray, J. T. (2008). Fiberoptic endoscopic evaluation of swallowing. Physical Medicine and Rehabilitation Clinics of North America, 19(4), 787–801, viii–ix.
8.
Discuss swallowing techniques such as the Mendelsohn maneuver that are used to reduce aspiration.
9.
What should the work-up for dysphagia include?
Reference(s):
Miles, A., McMillan, J., Ward, K., & Allen, J. (2015). Esophageal visualization as an adjunct to the videofluoroscopic study of swallowing. Otolaryngology–Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 152(3), 488–493.
10.
Discuss esophageal manometry in the diagnosis of swallowing disorders.
11.
Discuss both the reversible and irreversible surgical management for severe aspiration.
12.
How does a tracheostomy affect swallowing?
Reference(s):
Leder, S.B., Ross, D.A. (2010). Confirmation of no causal relationship between tracheotomy and aspiration status: a direct replication study. Dysphagia, 25(1), 35-9.